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Trochanteric bursitis: a common clinical problem.

D Schapira, M Nahir, Y Scharf

    Archives of Physical Medicine and Rehabilitation
    |November 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

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    Trochanteric bursitis diagnosis relies on clinical signs, not tests. Local corticosteroid injections effectively treat pain and disability, serving as both therapy and diagnosis.

    Area of Science:

    • Orthopedics
    • Rheumatology

    Background:

    • Trochanteric bursitis is a common cause of hip pain.
    • Diagnosis can be challenging due to overlapping symptoms with other conditions.

    Purpose of the Study:

    • To evaluate the diagnostic accuracy of clinical signs for trochanteric bursitis.
    • To assess the efficacy of local corticosteroid injections for treating trochanteric bursitis.

    Main Methods:

    • Clinical diagnosis in 72 patients over two years.
    • Assessment of associated conditions (rheumatoid arthritis, lumbar spine arthrosis, hip damage).
    • Treatment with local corticosteroid and anesthetic infiltrations.

    Main Results:

    • Clinical signs were sufficient for diagnosis; lab tests and imaging offered little value.

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  • 83.4% of patients had associated pathologies that masked the bursitis.
  • 90.3% of patients experienced rapid and prolonged improvement after corticosteroid injections.
  • Conclusions:

    • Clinical evaluation is key for diagnosing trochanteric bursitis.
    • Local corticosteroid infiltration is an effective treatment and diagnostic tool.
    • Associated pathologies frequently complicate the presentation and treatment of trochanteric bursitis.